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HomeMy WebLinkAbout80-00272 ',': ,',' -,-CO' .". '-', <.',. :'\, ,~, .' - "" ;:l ~ !d CIl I "" . ",,' >< p., ~ H ll:: CIl C" >< 1i Ul H pa 0 ::;; Ul E-< .\. iil A t.l ~ . ~ t.l . ~ ~ ~ S 0 N ll:: ~ .f'o 0 8 ~ N ~ CIl -." " ":,;,,,'-,-, 0 co -- . 0 - N .. (}J ~ '.i' . .11I 0 ~ \,()' Z 4ft LIJ No, 21-80 ;' . '",'( PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY in the Estate of HAROLD W. CRUSEY , deceased. HAROLD B. McLEAN, Acting To aiaN91xi~~OOJ;s0O, Register of Wills for the County of Cumberland, in the Commonwealth of Pennsylvania, IS Petitioner(s) IIlItexthe execut.9.L------ named In the Last Will and Testament of Harold W. Crusm'_-------'---- dated March 27 , 1~, Decedent was a citizen of the United States and a resident of Township South Newton I!l~~~ Cumberland County, Commonwealth of Pennsylvania. Decedent died on Saturday the 20th day of October A. D. 19-1L, in the County of Cumberland State of Pennsylvania at the age of 86 years. ~ ~~ ~ Decedent has not been married and has not had children born to him since the execution of the above described Will. Decedent was possessed of personal property to the value of $3,000.00 and of real estate to the value of $20,000.00 as near as can be ascertained; said real estate situated as follows Cook JIlIllIix~~ Townshipll, Cumberland Cou!!D'->-- Pennsylvania 11l~ Therefore, your petitioner(s) respectfully applies for the probate of the said Last Will and Testament and for Letters Testamentary thereon. Dated April 7, 1980 Name and address of Petitioner(s) ~/~( ~V Reginald Crusey C/ R. R. #2, Box 131 Shippensburg, Penna. 17257 COMMONWEALTH OF PENNSYLVANIA ~ ss COUNTY OF CUMBERLAND Reginald Crusey named in above application, being duly say(s) that the statements set forth sworn according to law in this petition ore true to the best of his knowledge and belief. ' a ' ~L' ,J!' v subscribed before /' te~0',,<t, < ~,.0<7 ~nald Crusey c/ Sworn and ~o/v April 7 1980 me, IYa4..--<7[ /] q)J(' L.'.=0I?C;p:,-ty , FiUmaMixfix~~,=R~;Mf' Harold B. McLean, Acting 1980 Attorney: "~\ .-...,..-,-"- ," :~,. , .. j . ._"',. ',,',0>-0"-" I " <.:---- L,/-/o" LAST \'IILL AND TESTAHENT ---------------------...------- Newton, County of Cumherland and Commonwealth of Pennsylvania, I, HAROLD W. CRUSE~. a resident of the Township of South being of sound mind and memory, do make, puhlish and declare this to be my Last \Hll and Testament, hereby revoking any and all Wills by me heretofore made. FIRST: T hereby direct my Executor, hereinafter named, to pay all my jus t debts and funeral expenses as may conveniently be done after my decease. SECOND: I give, devise and beaueath all my estate, be it real, personal or mixed, to ~erinald Crusey, Betty Rosenberry an Catherine Paczak, equally, share and share alike, or their heirs. THIRD: I hereby nominate, constitute and appoint my son, Reginald Crusey, to be the Executor of this my Last Will and Testament. In the event my son, 'Reginald Crusey, should be unab1 to serve as Executor for any reason whatsoever, then I nominate, constitute and appoint Betty Rosenberry to be the successor Executrix. IN WITNESS WHEREOT', I hereunto set my hand and seal to this my Last Will and Testament, written on one sheet of paper, dated this .:.1-0'day of Harch, 1974. -""bJdl~T(SEALl This instrument was by the Testator, Harold W. Crusey, on the date hereof, signed, pub lished and declared by him to be his Las t Will and Tes tament, in our presence, who at his request and in his presence and in the presence of each other, we ,believinr: him to be of sound and disposinr mind and memory: have hereunto subscribed our nnmes as ,~i tnesses. {/If! Itl f- 4C4. / ____~__--_'"L--------7-J..:..----- _~~~~~Ll~~~~LL----------- MCCREA & McCREA Anolll/UIAl lAW N[WVILL[ & SHIFPEMIBUIlD PUIIA. . OATH OF SUBSCRIBING WITNESS COMMONWEALTH (W I'I':NNSYLVANIA ( ;;;;: COUN'I'Y OF CUMBlmLAND \ Th is. ,. .......,.....,.. .....,. ,~.~.::~..,.. ,.,..,.. ...."." ,.....,.. ,. ,.. day of ...., ,..(\p,r,tL.... ,. ,......,.., ,....., ,.., ,... ,. ,..... ,..,. A. D., 1 9 ..~Q .., Harold B. McLean, Acting before me RiohwlddikxbtmbcxlOXll<, Re!(isler lilr the Probate of Will;; and !(ranlin!( lelters of Administration in and for said County of Cumherland, in the Commonwealth of Pennsylvania, personally came .............. ...... ..,... ,...',.. .~g~:.7.~.. .~. :..~~~~~g. ..<p.?'!.~.~,?':')...., ..........,. ,.,. ..... ... ,..... ........... ,....., ".." ,,' ,.. "".' ,.,........... ,....,., ,..,..,. the subscribing witnesses to the 'ilregoin!( instrument of writing purporting lo be the last Will and Testament of ...... ,1;!'!-x.9.M..!i".. ~F.!!~~Y. .... ......... ,...... ......."... ............,...........".... Dated .. ,\'!~F.~1"\..n... .+.n4.........., late of, .... ,~.9.~~.J:l...l:l.l?~.~gn. Jm'm~.J:l.:!-.p..........,..., ......., ...,........ .....,...,....,..,........, Cumberland County Pa., deceased who being duly .....~,\'!9X,9............................. according to law, depose and say, that ......~,1"\~...\'!'!-.9..................... present, and saw and heard the testa.I;.QX.........................., ....1;!"'r.'?J.c:I..):I.,..I;X)l~!iY........................................... sign, seal, publish. pronounce and declare the said instrument of writing as and lor hts............. Testament and Last Will, and at the time of so doing ..............h~...............................was or sound and disposing mind memory and understanding, to the best of ..............I)\y.............................knowledge. observation and belief. .........~~g.m............................. and subscribed before I /' . .Ii' .' (!J/ ). .' !/..,'!>,{.):l.,.I.,\'...l.\.,I.I.liil. !:l....~,i;M.,J.W.,;'X\/...... .... Mildred c. Russell (Davison) .................................................................................. R~~~~{1!t~~..-1~;;j;;1~ Harold B. McLean, Acting .................................................................................. AFFIDAVIT OF DEATH COMMONWEALTH OF PENNSYLV ANJA! ss: COUNTY OF CUMBERLAND \ .........,................................"...........,............ .~.7.l;\.~~.~~~.. ~~~~ ~y..,..........,.........,....",.,....,.. ...................... being duly .........~."!.9:f.f}.............................. says that as nearly as can be ascertained the said decedent .......................... ....,.......... .Ij.<:':f.'?~!!..!'i..... \; F.\!~. ~Y..................................."...,......................,.............,...,.."...".......................... .died on ........~.~.t;)/XflflY..................,....... the ..........~Ql;\\..............day of ,..............9.~,t.'?l?l?X......................... A.D., 19?,L., at or about ............,............................. o'clock, ....M. .............~~.9.r;n....................... ... ....and subscribed this a .. d-/J /ZI . ....{;.~/~0~::...,.j....,\,~,,:::::~~7....................... iteginald Crusey 1./ ..........................1:t;?............... day of ..!~.Px.:!-l........... 19, .S.Q...., before 1.>;,/" 08 "21, /..u/ DGputy ............J.Xf.'r..,.1'...(.lh........~~0..t.;..?......................... 'J lllctm1>ib<io.Pl'mdlJ\'OOll\xllegister I Harold B. McLean, Acting OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLV ANIA } SS: COUNTY OF CUMBERLAND Before me, t.he Regist.er for the Probate of Wills and granting of LeUel's of Administration in and for the County of Cumberland, personally came ......................~7,~.~.~.~.~.~.,~:':~~~Y.........,...........,........."...,...."........ who, being duly ....~:-f.9,r;.r1..............., do <;.~....... depose and say that as......!':?f~~~~~r........................................... .of the last Will and Testament of .....~.~:':~~~,.~:,..~~~~.7X.....................................................................deceased .......h~.............. will well and truly administer the goods and chattels, rights and credits of said deceased according to law. And also will diligently comply with the provisions of the law relating to Transfer Inheritances. .......~)'!i?);n........,... and subscribed before me. April 7 80 ....................,................................... A. D., 19............ ..... 4.-a.~&.d.,;....!?:...:.?21g./d:~;'..,.:"..lP!'/' ~&~~, Register?'" ,'v';jJ' ,lj;;J it,/", Harold B. McLean, Acting .....~~t~.q~.................. .................................................................................. :.,; :l1l 0: :<Jl :Ol <B, :~ ..... :l1l ;0 LL ~: C"J: 01: 0 ",: 00; ~i ~c; N: (,)1 ~ ...J " 0 .....: ~: 0 h";; N: ...J ~ ('1): .-:::. I; A; t'- ,..:I: ::: '. N; 0: - 0: ~ ~: N 00: $ ~: E-l: I; .S ril; .-<; .-<: .r!: Q N; ." ~4 : l1l "': p,; 00 0 ." 0: F'Ci I Z " m: - 0 ~F: N $ u l1l S " <ll ." 0 ." be l1l <Jl l: ell ~ Z ril .~ Ol p.. ~ DECREE . 23rd Be It remembered that on the ........................ day of ........AlldL............................, A. D., 196IL.., there was probated and recorded the last Will and Testament of ......I!.'!-xR.1A..l'!.....\;r.~~.~y........................................, late of ....~R.'!!:h..~~~~.'?!'...T.9~.~h.~p..,.....,........................, Cumberland County, Pennsylvania, Deceased. Letters .~.':::.~~~~~~.~~L....... ...................... were granted to ., ......,..... .~.7.~.~~.~.~~..~~~~~y..... ,. .............. ,... ..... ...,... ............ Witness my hand and onicial seal the day and year aforesaid. ~Vl,(' ;~r\..1 ..) . J2. ~' ~ ~ , / J .' '. ' Deputy ~.... .'l- . . L t'l-., ,/" r. ,...<.,.. r' ..... /0........... '7ft., ,10:;;1 ':{"........ ,.. ,... ,... . RfflIl!'~ltFKm:BJIjI~ 1{el{istcr. Harold B. McLean, Acting ..~....,., .._ . -" __ -........ """"-'__ E..."- __,-=- K.A ......~._ E:III. '-"AEV.1162EX ,.,' '. ',' ., . . ',.. ...",. " . ~t~~:K000289'" COMMON:~A~~J~TO~ :e~~~ESVLVANIA . ~. .,' ..' 'OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX II ' ,.' '1\ . " II = ~ (....''1 TAX AT 6% TAX AT 15% \ , RECEIVED " FROM II I ADDRESS ~ina1d Cru.ey on . 24 w. Kinq St.reet. ShippeNlburg. Pa. TAXAT_% s . ESTATE TAX 17257 TOTAL TAX CREDIT 836.29 ._--- -------- ---- - --- ESTATE INFORMATION: O~t.. 20 DATE OF DEATH .. 1979 DATE OF PAYMENT 21-80-272 Novemaber 14, 1980 FILE NUMBER ';OUNTY . HAROLD W. CRUSEY Cumberland m m LESS DISCOUNT PLUS % INTEREST )FROM TO_' NAME OF DECEDENT TOTAL AMOUNT PAID 836.29 POSTMARK DATE REMARKS: .PAID ON ACCOUNT" SEAL RECEIVED BY /..,. . i . /1/1,.;.cI C /),:'-i..I/l.d "FY CliNtIMs Register of Wills I REGISTER OF WILLS '""~,"'~ GENERAL INHERITANCE TAX INFORMATION Unsatisfied liabilities incurred by the decedent prior to his/her dcath are dcductibie against his/her taxable estate. In addition to debts incurred by thc deccdent or estate, othcr itcms arc claimablc including the cost of administration, attorney fees, fiduciary fees, funeral and burial expenses including the cost of a burial lot, tombstone or grave marker. Ali debts being claimed against an estate are subject to the approval of the Register of Wills with whom the Inheritance Tax Return is filed. Evidence to support the decedent's or the cstate's liability for the debts being claimed should be attached to this schedule. A family exemption of $2,000 may be claimed by a spouse of a decedent who died domiciled in Pennsylvania. If there is no spouse, or if the spouse has forfeited his/her rights, then any child of the decedent who is a member of the same household can claim the exemption. In the event there is no such spouse or child, the exemption can be claimed by a parent or parents who are members of the same household as the decedent. r- '" Cl ("') > trl ~ ~ - > 0 0 tl Vl Z C'l ("') c:: tl ~ Z ~ z r- trl trl ~ Z :<l 9 9 t"' Z Z tT1 ..., tT1 .., z 9 ..., >< tT1 - 9 U'l U'l Z 0 U'l 0 ..., I 9 'Tl '11 :<l ~ ~ 0 ~'.J - 'Tl ,"" 0 'Tl - ~ <-. Z n ~ ,.. ~')r_l - > l. ...:.-;U t"' <;f '-., ~!:. '0,. ''=..t c:: Cl" ~L. .-1 U'l \..I.J<., , "" (,~.l\:. tT1 C'l.l". C::, O\.lJ 0 a::V1 z 'ro 00 ~~ Z (..)lJ,J ;25 !( ~c.: ~ '.j(..) >< >< (" ~ tT1 tT1 > ~ :<l INSTRUCTIONS FOR COMPLETING SCHEDULE "F" 1. If the family exemption is being claimed, indicate the claimant's name, address and his/her relationship to the decedent. Enter "family exemption" in the remarks column and the amount claimed in the amount column. 2. Assign consecutive numbers to each item listed. 3. Enter the date on which each debt was incurred and/or paid. 4. Enter the names of each payee. 5. Provide a brief explanation in the remarks column for each debt claimed. 6. Enter the amount of each debt being claimed. 7. The form must be signed by the person who has assumed the responsibility for paying the debts. RE V"440 ( ,..80) COMMONWEALTH OF PENNIYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT AFFIDAVIT OF FIDUCIARY (Instructions on Rovorse Side) (CITYI (STA1~J ._._.__0__'._'-'- Dcto of Dealh October 20. 1979 Social Security No. 17257 Bureau File No. (liP) Caunty File No. 21-80-272 Estate of Harold N. Crusey Lost Address R. D. 2 Shippensburg 1 PA 1. Decedent died: ( ) Intestate (without 0 will) (X ) Testate (leaving 0 lost will--copy attached) 2. Is the filing of 0 Federal Estate Tax Return required for this estate? Yes_ No X 3. ( X) Execu tar/Executri x ) Administrator! Administratrix Nome Reginald Crusey Address R. D. 2 Shippensburg. PA 17257 (CITY) (STATE) {ZIP} 4. All correspondence should be moiled to ( X) Atlorney ) Fiduciary. 5. If on attorney is representing the estate, indicate: Nome Hamilton C. Davis, K:CREA & DAVIS Address 24 \~est King ~t:reet J:dwensbnrgr P/\ 17::><;7 ICITY) {!iTATE} (ZIP) List 011 safe deposit boxes registered in the decedent's individual nome, or jointly with, or os on agent or deputy of another, or in decedent's individual nome with right of access by anatner os agent or deputy. Include the nome and address of the bonk or other institution where the safe deposit box is located, the nome (s) in which the box is registered and the relationship of the joint holders to the decedent. . _. NAME AND ADDRESS OF BANK OR OTHER INSTITUTION IN WHICH DECEDENT MAINTAINED A SAFE DEPOSIT BOX NAME OR NAMES IN WHiCH SAFE DEPOSIT BOX IS REGISTERED RELATIONSHIP OF JOINT HOLOERS TO DECEDENT NONE Under penalties of perjury, I declare that I hove examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief it is true, correct and complete. 11//2. //JO 1 DATE v PENNSYLVANIA INHERITANCE TAX GENERAL INFORMATION 1. PERSONS RESPON SI BL E FO R RETU RN Seclion701 of the InheritClnce Clnd Estate TClx Acl 011961 provides Ihat the following persons shCll1 prepme Clnd file a relurn: a, The personClI representCltive of the estClte of the decedenl clS 10 plOperty of the decedent Cldministcred by him Clnd such CldditionClI property which is or mClY be subject to InheritClnce TClx of which Ile/she ShCll1 hClve or acquire knowledge; b. The IrClnsferee of property UpOIl Ihe tmnsfer of which IlIherilClnce Tax is or mClY be imposed by the 1961 StCltute, iocluding cl trustee of property transferred io trust, provided thCltno sepamte relurn need be made by the trollsferee of property included in the return of cl personClI represcntCltive. 2. PL,~CE FOR FILING The return is to be filed in duplicate with the Register of Wills of the county wherein tile decedent resided. 3. TIME FOR FILING The return is due nine months Clfter the decedent's death, unless an extension for filing has been applied for and granted by the Secretary of Revenue within the nine-month period. 4. FAILURE TO FILE RETURN Section 791 of the 19GI Statute provides that". , .,lIlY person who willfully fails to file a return or other report required of him. . .shall be personally liable. . .to a penalty of 25% of the tax ultimately found to be due or $1,000 whichever is the lesser to be recovered by the Department of Revenue as debts of like amount are recoverable by law." 5. TAX RATES Inheritance Tax is payable at the rote of 6% on transfers to lineal descendants, such as father, mother, husband, wife, son, daughter, grandchildren, grandpment, son-in-law and daughter-in-law and at the rate of 15% as to all others. 6. PAYMENT OF TAX The tax assessed on the transfer of property reported in the return is due 9 months after the decedent's death. Interest at the rate of 6% per annum accrues thereafter until payment is made. All payments received are first applied to any interest which may be due with any remainder applied to the tax. IF TAX IS PAID WITHIN 3 MONTHS AFTER THE DECEDENT'S DEATH, A DiSCOUNT OF 5% OF THE TAX PAYMENT IS ALLOWED. All cbecks should be made payable to the Register of Wills of the county wherein the decedent resided and are received subject to the final determination of the Department of Revenue. 7. FAILURE TO PAY The taxes imposed, together with any interest thereon, are a lien upon real property, which lien remains in effect until the taxes and interest have been paid in full. The taxes may be sued for against any real property in tbe decedent's estate or against any property belonging to a transferee liable for the tax. 8. FILlNGOF FALSE RETURN Any person who willfully makes a false relum or report required of him shall, in accordance witb Section 793 of the 1961 Statute, be guilty of a l1Ii sdemeanor and, on conviction thereof, shall be sentenced 10 pay cl fine not exceeding $1,000 or undergo imprisonment not exceeding one year or both. REV.451 (l.BO) . ,COMMONWEALTH OF PENNSYLVANIA OEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "B" PERSONAL PROPERTY '* (Instructions 0" Rov(](,fW Side) Estate of Harold W. crusey ESTIMATED DEPARTMENT ITEM DESCRIPTION UNIT MARKET VALUATION NO. VALUE VALUE (OFFICIAL USE ONL Yi 1- 1971 Ebrd Autorrobile, Sedan, Serial No. lH25F141190, sold at private sale by executor $ 25.00 2. 1 Share Connon Stock, Currberland Valley Cooperative Association 10.00 10.00 3. 21 Shares Preferred Stock, Cmberland Valley Cooperative Association 10.00 210.00 4. 9 Shares "old" Connon Stock, Cunberland Valley Cooperative Association 10.00 90.00 5. 8 Series "E" U.S. Savings Bonds, $25.00 (573.23) denominations redeerred for total of .n-?,/I I , - TOTAL THIS PAGE $ ~08.23) Vi'.f-. II .!J'JfL REV.451 o.eo) , ,COMMONWEALTH OF PENNSYlVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "6" PERSONAL PROPERTY .'1. . ' \ , ' (Instructions on Reverse Side) Estate of Harold W. Crusey ESTIMATED DEPARTMENT ITEM DESCRIPTION UNIT MARKET VALUATION NO. VALUE VALUE (OFFICIAL USE ONL Yi 1. 1971 Ford Autom:Jbile, Sedan, Serial No. lH25F141190, sold at private sale by executor $ 25.00 2. 1 Share Conrron Stock 1 CUllberland Valley Cooperative Association 10.00 10.00 3. 21 Shares Preferred Stock, Currberland Valley Cooperative Association 10.00 210.00 4. 9 Shares "old" Comron Stock, Currberland Valley Cooperative Association 10.00 90.00 5. 8 Series "E" U.S. Savings Bonds, $25.00 673.23) denominations redeerred for total of .!r'f-'!, Ii , . TOTAL THIS PAGE $ @08.23) Y.i'4,i! .!!J1fL ~-,."... REV"4~Z 11.001 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT ESTATE OF _ Harold W. Crusev SCHEDULE "e" TRANSFERS *.~ , . , .,' ~ LNSTRUCTIONS: 1. Answer the questions on reverse side. 2. If the answer to any of the questions on the reverse side is "Yes," provide a description of the property transferred per Schedules "A," "B," or "E," its estimated market value at date of death, dates of transfer, to whom transferred and relationship of transferees to decedent. Attach a copy of any trust deed or instrument relating to the transferred properly. ITEM ESTIMATED DEPT. VALUATION NO. DESCRIPTION MARKET VALUE (OFFICIAL USE ONL Y! I 1. Conveyance of lot of land situated in South Newton Township, Currberland County, Pennsylvania 1 to D2cedeht's daughter and son-in-law, from D2cedent and surviving spouse, see attached deeds, rrarked Exhibit C-l .1. See attached explaination of extent of taxability, natked Exhibit C-l .2. / 600.00""" Tax assessment for 1980 $300.00L $ 2. Conveyance of lot of land and dwelling house situated in South Newton Tawnship, CU11berland County, Pennsylvani to D2cedent's son and daughter-in-law, from D2cedent and surviving spouse, see attached deed, rrarked Exhibit C-2 .1. See attached explaination of extent of taxabi- lity, rrarked Exhibit C-2 .2. /? 11 Tax assessment for 1980 $4810.00)/ . -(- 9,920.00 3. Savings Acoount No. 127-088-4, Cormonwealth National . Bank (foITlErly First National Bank of Shippensburgl . titled in narre of decedent and surviving spouse, opened 9/25/79, see attached explaination of extent of taxabi- lity rrarked Exhibit C-3 .1. Balance Date of Death $7500. 3,750.00 4. O1ecking Acoount # 707-091-0, Cormonwealth National Bank (Ebrmerly First National Bank of Shippensburg, PAl title in narre of Decedent and surviving spouse, converted to joint with spouse 7/31/79, see attached explaination rrarked Exhibit C-4 .1. Balance as of Date of death $ 4,500.03 2,250.01 TOTAl. THIS PAGE $ 66,~20.0~ " II, ",-O!O.O/ 1 ~'gf( 1. Did decedent, within two years of death, make allY transfer of allY malerial part of his estate wilhout receiving valuable and adequate consideration? (Answer "Yes" or "No".)~:.- 2. Did decedent, within two years of death, lransfer property from him sell! hersel f to himsel f!hersel f and another party or parties (including a spouse) in joint ownership? (Answer "Yes" or "No".) -~ 3. If the answer to one or two above is "Yes" and lhe transfers are claimed 10 be nontaxable, provide the following information: a. Age of decedent at time of transfer. 84 b. Copy of death certi fi cate. Attached c. Affidavit by the attending physician indicating the state of decedent's health at time of transfer. N/A d. All other information supporting nontaxability of transfer. See Attached 4. Did decedent, in his/her lifetime, make any transfer of property without receiving a valuable or adequate consideration therefor which was to take effect in possession or enjoyment at or afler his/her death? (Answer "Yes" or "No".) N<'l a. Was there any possibility that the property transferred might return to transferor or his/her estate or be subject to his/her power of disposition? (Answer "Yes" or "No".) b. What was the transferee's age at time of decedent's death? 5. Did decedent in his/her lifetime make any transfer without receiving a valuable and adequate consideration therefor under which transferor expressly or impliedly reserves for his/her life or any period which does in fact end before his/her death: a. The possession or enjoyment of or the right to income from the property transferred? (Answer "Yes" or "No".) Yes b. The right to designate the persons who shall possess or enjoy the property transferred or income therefrom? (Answer "Yes" or "No".) No 6. If the answer to five b. above is "Yes," state whether the right was reserved in decedent alone or others. QUESTIONS CONCERNING PROPERTY TRANSFERS 7. Did decedent in his/her lifetime make a transfer, the consideration for which was transferee's promise to pay income to or for the benefit or care of transferor? (Answer "Yes" or "No".) No 8. Did decedent, at any time, transfer property, the b61eficial enjoyment of which was subject to change, because of a reserved power to alter, amend, or revoke, or which could revert to decedent under terms of transfer or by operation of law? (Answer "Yes" or "No".) No 9. If the answer to eight above is "Yes," was the power to alter, amend or revoke the interest of the beneficiary reserved in the decedent aione or the decedent and others? (Answer "Yes" or "No".) N/A ',"'1,.. ;...~~ , \ i ~:~ ;;~1~1;~~7~t~rr;1fll ~r' p~klKMlt4lrMntl r;;--;J '1 ' ~ f'il ' , ^ "0, (:JI.A !l'0 \1 0'1 ~ ~ \/~ r-'1' ~ I I . ~ I I'."r r', ^ I')f /,,,, I'> ^ r.y) A ~. I ,'', '\ i 1'/ I' i \ I "'111:'. I', I~,) II \ II, I, ,\. , II' 1\ . r::obV v..." ~ 1..:/. v I.> ~V' 'V' . ~ 1; ( MADE TIlE 2Bth day of February 01 Oltr I.on! on~ thoulfnnlt f1ine huwlred and neventy-ninc (1979) ill the year IJ/,TlVla,N HAROLD W. CRUSEY and CATHERINE P1\CZI\K CRUSEY, his wife, of the Township of South Newton, County of Cumberland and Commonwealth of pennsylvania, Grantors, parties of the first part, 1\ N D FRED J. ROSE~BERRY and BETTY W. ROSENBERRY, his wife, of the Township of South Newton, County of Cumbel'land and' .:; commonwealth of Pennsylvania, Grantees, parties .' Ie \ I I I I of the eeOO7ld part, WITNESSETH,that the said parties ' of the first part, for and in c01!8M..... ation of the bUm of One ($1. 00) -------------..--------------------------- _ ____ __ ___ ___ __ _ _ ___ __ __ _ ____ __ . _ _ ___ _ _ ___ _ _ ___ _ _ __ ___ __ __ ___.Dollars, lawful mOll61/ of the United States of America "nto them well and truly paid by the said part ies of the second l,art, at and befor. the seoling and delivery of these presents, the receipt whereof;" hereby acknowledged, have granted, bargained, .old, alien<d, enfeoffed, released, conv"dea and OO7Ifinned, and b:l these presents do orant, baroain, sell, alien, enfeoff, release. convey and CflIIfinn unto tho saW. part ies of tho eecond part" their heire, arod aseigllS, 1\LL that certain tract of land situate in the Township of South Newton, County of Cumberland and commonwealth of pennsylvania, bounded and described as follows, to-wit: , '\ ~ I BEGINNING at an exposed iron pin at a point common to land now for formerly of James Gardner and land now or formerly of Louise Farman, thence by land now or formerly of James Gardner North fifty-five (55) degrees fourteen (H) minutes two (2) seconds East two hundred twenty-one and twenty-one hundredths (221.21) feet to an iron pin at corner of Lot No.1 (to be conveyed to Reginald crusey), thence by Lot No.1 South twenty-three (23) degrees sixteen (16) minutes thirty-nine (39) seconds East two hundred forty-eight and sixty-six hundredths (248.66) feet to a point, thence by same South sixty-one (61) degrees sixteen (16) minutes eleven (11) seconds West one hundred seventy-one and seventy-four hundredths (171.74) feet to a point; thence continuing by same South eighteen (18) degrees thirty-two (32) minutes forty-seven (47) seconds East two hundred sixty-two and five hundredths (262.05) feet to a ,point at land now or formerly of \~arren Houp, thence by Houp land South forty-five (45) degrees fifty-nine (59) minutes twenty (20) se"onds \'iest one hundred sixty-seven and sixty-five hundredths (167.05) feet to a point at now or formerly State lands, thence by state Lands North thirty-one (31) degrees fifty-six (56) l1inutes twenty-seven (271 seconds \~est three hundred t'-IO and fifty-eight hundredths (302.58) feet to an exposed stone pile and land now or formerly of Nellie Naugle: tll1~nce by Nnuqlt.! nnd p."1.T"n1;n1 tl".1CtS Ncrth sixty-one (61) c1c~lr~e~i ~~i>:b,:'('n {tG) l:linutc., c;h~\'(.'1l (11) s(.!condr. E,l~'': on0 hundred seventy-seVen and eighty-eight hundredths (177.BB) [eet to a point, thence by ,'arman tract North twenty-three (23) degrees West two hundred twenty-five and forty hundredth" (225.40) feet to an exposed iron pin, the place of BEGINNING. Being Lot No.2, on the survey by Kissinger & \'lolfe, Il. S. [or Harold W. Crusey B~ rw: 723 i \ \ \ \ \ , ",.__.c,___. .J . .," .... ...- ... \;t ,'I,,' j.. c -I, I -.. L I: r Ii II " ,\ I. ' , .. " j: , , i, \: , 1 " i' I , , , ! \ : ( ! , , I i I I I , '.' dated October 5, 1978, containing a total area of 2.418 acres, but subject to a land dedication of .168 of an acre for road purposes. ; ,. ,( BEING part of the same tract of land "hich Frilnk I". Lay, single m.1!1, by his deed dated Harch 17, 1975 and recorded in the office for the recording of deeds in and for the County of Cumberland in Deed Book "Z", Vol. 25, Pilge 155, conveyed to lIarold \./, Crusey and Catherine Pac~ak Crusey, his wife, Grantors herein, and PART of the Game tract which M. J. Gardner et ill, by thcdr deed dated September 3, 1976 and rccordlH.l in the a(oru~.aid ofEic~ i.n Deed Hook IlU", Vol. 26, Page 758, conveyed to lIarold W. Crusey .1nd Catherine Paczak Crusey, his wife, Grantors herein. .,...-'. -...-'" ,'1, . , .' j = ~ \ l;; n:nn ~~~ - ~~g~ I :lr;ooc' .t>. :r'-flto ~~:.v~ I ~ !<v~~ I ..n n I ;XOCllpt ...,., -c:!"I"I '" 'I.. ;r: ~~~~ - ..~~ , -.l .. i &.0 I -.:' >. i I Ie I ' i I I \ " I" I , I, BO~ rm 724 '. , '. u r! j; I: '1 I , \ , . \ I ~~ ~ " , " .. I, [ 1 1 I , , \ I I , \ ., I i I 1. I I , I \ , , I I \ . 1 , . \ , \ \ i - '-'~'-'."-"'.- --,' Slota 01 Pennsylv<lnia } Counlv 01 cumberland ... On Ihis. Iho 28th dav 01 l'cbn~l'-Y . 19 79, b<lor. "'.. tho ul.wrsio.ucl off.ur. peroonaZ:~ appearccl lIilrold \~. Crusey ilnd catherine Paczak Cruscy, his wife, /".,wwn !o III. (or satisf""tmi1v prOll.n) !o b. Ih. personS .01.0." nama s arc subscrib.cl to the within in..tn,m""I. arul ""knowl,dOcd that they ex..ut"d sa",. lor Iho l"'l'lJO.... t/o"d. contained. . I"~ "~, ~...-."'. , I I h I -, ! Ui'! ! "1'" 101.11(" -., "':" In WI/U"" wher.o . ...unto sel IlIV "''''' arn 0 lela .,'!I. ' ",I' <.",,~ . . ,':'!..: """:"" , ~rl~U 1. C.{' ,:,:;.,,~\-~ '.,. :...:.-,>...:,:<,i, . . /, ,J . .::':"!'f):.",~~~~r' .''>v ...~t,I~.?:11~ '"0'_'__'_ ."_,, Iu... ._. .IoUl._I._."',,"..... ",,- . "'1:")' .' <,:1 ~/.;'/;<' :l.~r,:..~,,\.:;,.~ \1 ':i~ _...._._..._.._.~!?~.~.;:y.J?H.l?.J.}~<::_.~~.:!.~:~:;~~.:,.,~'~:J ?~r' Titl.'iJ{.Oli~lr, ',':' OJ, i My Comm. expire;;.~",.1\i1y' D;":i~a~/ . ": /.,'. ';. \)"\ I' ....., "'.::,'" .' ........ , b~io'r~~ me, State 01 }ss. . 19 Countu of On this. 1M d4u 01 the und.rBiOMd OfMCT. p.r8onallU awcorro known to m. (or satisl""Wri1u prOllen) to b, tlleper,on wllo,. ?l4mo eubsor1bedlo the within ilUltrument. and ""knoWledg.cl tW execut.cl 8""'. ''''' the purpos... ther.in contaiMd, , In witness whereof. I h.reunto s.t IlIV Mild aw! of]icia.! sool. -- ~ ., ---.--.-..-.-.-.-...-.-...-..--.-..- TWo 01 OfMer. I cl<> hereby certilu tMt the pr.ciso reBidene. ow! completep JOBt olf..o addr." of the within ?l4meel orantee is R. D. i2. Shi~b~9' Pa, }~157 '. February 2B 1979 _..'?:lll4(J. f).!0::-_!!.:-..--..- Attorn6ll /Jr _~~!:,::,S _ . .,..--- . " >0 'M t>l 'tJ.c .: . . 00 .: 'M p.ro 1!g ro . .riP. >0 ~.c roU >00: ~ +l " . . 0:0: >d.:>. l\, l:iz 0:;,) ::> :< +l J:;J ru<" +l 0': ",,,, "':Z; :z; .rl [.-1 ~ ~ OU z'" " 0 (:,.} 0:':: 0 [MOO ~ ':U ~ UP, +l ~~ ~ 0 +l +l'tJ "'" .l'l . 0: ro:<" ~ :.:z<> . +>~ro ~ ~""' ~:?; "z.... P 'M ~ ~ ~, ~~~ >0 . .c~ @[';t1l ClE-4GJ t3: .... +l~ \i!"'''"' ro ::> ,-::: ...:.,.4 t:J'n &(0::> :Il U.<: ~"':< t/lU COMM .~tyl OF PENNSYLVIjNr; '... 1101--. .'''. ...:. ' 0 . f ,# RECORDED on t/ois ___....~q.:t:dau o~.~~"" .. :7.;." /:" . A. D. 1~ in Ihe R.corder', OUice 01 said Countu. in Deed Book Vol. ~l-, paoe _Zd.~. -'..';;'" '. Given under 11111 hand and the..'; 0; the said. olfi.c.. tho'dat. abOll. written.. ,,",,, .. ( ~ / ~..\.~:51_.:J~eCOTd.r. ~28 rl.CE 726 ! I , I I \ \ ( , , . , , \ :\ ' " I ! , J ~ ---:--.._~------_._- ------..---------- ------- ... ...,~. ~ j l j \ I \ ~ I i I j 'I I I , " ~!. i , 1 I , . 1 ! Il ; I I 20JT_W.mlll'tf c......J, 1....0 A.....n(No'I...:l.ment. Illlnr)' U.lU, 1M;., InOI.lIIl... .'.... F--rr t'-. , I . .... ;1 ; " /".r"-t ,', ...., 0(,.....'~....!. ;l4~<....) ,"''') 0> t:.... \: ,', 111:1: 1 :'\ i I i: ',I 'I :.' I '1', I" . I \1 I' '\ 1 . /,,/ } 'I , " ' " ',~ 1; " 1'1 1'" ; I., j '.... ,... ,.~ V v "-../ -..... V V V Vv V V / C-:) "'r y (I 1 '.'^\f(a '/:J ID' 1 I, to" \. " II I I/" ~ v: V " = in tlle lIttlr dav of Febrll':U:Y and sewnty-nine (1979) MADI': Till:; 28th of our lIard one tllOlUJU1UL nine huwlrc:d :' ,,' BETWEEN lli\r<l!D I,. CFLSb"Y and C\'ilIERTNi, PAC?J\K CHLSh"Y, his wife, of the Township of SOuth l'",,,ton, County of CUilbcrland ':lOd camcrr"",alth of pennsylvania, Gr.:mtors, purties of the first part, AND REGINt'\LD L. CRLSE'l and EVELYN M. CRUSE'l, his -Wife, of the Tc7..mship of South Newton, County of cmberland and cnmo""cc:rth of Pennsylvania, Grantees, parties ~ '" g;nri ..mr., ~~~~ ~"""I"" :.T ;'! :~; '" ~~..11'~ ,<u~~ >on <> xoO,.. ):~~C' o-tO"Tl -<"'""' X ,.. .t>- N N ...", "' ::s: ...:; CD of the .e""nd paTt, WITNESSETH, that the said part ies ',' of the fiTst paTt, for alUt in C01I.'Jjder. ation of the sum of One ($1.00) ------------------------ __------------- ____________ DollaTs, lawful mon"ll of the United Slnt.. of America unto them 10CU and tn,lv paid bV the said paTt ies of the sercrrn! part, at and before tho scaling awl de!ivcrv of these presents, the receipt wheroof is hercbll ac1mowl<dued, have grantcd, baroained, sold, aliened, cnfeoffed, released, ccmvc!lcd and confirmed, and bll the.orB pre.Ycnt.'I cb oran'., bargain, sell, alien, enfeoff, rclco.se, conveya1Ul confirm lotto the lJaid 1mrt ics of thB second paTt, their heirs. and assigns, l\LL that certain tract of land situate in the Ta.-mship of South l'cwton, county of C\lI1berland and CarnotT_ea1 th of pennsylvania, bounded and descril>.-od as follows, to-wit: BEGTh'lolING at an exposed iron pin at a point conmon to lands of 'f. W. Gardner and Bessie ourf and land nCM or fonrerly of Jmres J).1rf; thence by Qlrdner-J).1rff tract South "forty-eight (48) degrees twenty-nine (29) minutes fifty-six (56) seconds East \:we hundred seventy-nine (279) feet to an ey,r,osed iron pin; thence by land nOW or fonrorly of Ellis D.tr; South sixty-one (61) degrees sixteen (16) minutes cleven (11) seooncls West two hundred twenty-eight and sevcl\ty-four hundrcdU1S (228.74) frot to "I::oint; thence c::ontinuing by SilllB sputh thirtrsevoOn (37) degrees l:\."lve (12) minutes fifty (50) seconds East one hundred eighty-two and forty-four hundredths (182.44) feet to a point conll1On to lands na.-I or fonrerly of Ellis DJ.rf, now or fonrerly D. D.:>lbin, and lands no./ or forr.erly of william Cl::od'jear; thence by land reM or fomcrly of william Goodyear and land nCM or fonrerly of Warren 1I0up South forty- five (45) c1cgrees fifty-nioo (59) minutes twenty (20) sca:mds \-lest two hundred ninety-three and ninety-eight hundredths (293.98) frot to a point at Tract No. 2 (to be c::onwyed to Fred lbsenbcrry et ux) ; thence by said Tract No. 2 North eighteen (18) degrees thirty-two (32) minutes forty-seven, (47) seconds ~1est 1:\.'0 hundred sixty-t;,o and five hundredths (262.05) feet to a point; thence by Sill\'C North sixty-one (61) degrees sLxt:Den (16) minutes cleven (11) sec::onds F.ast one hundred seventy-one and seventy-foltr hundredths (171.74) feet to a point; t.hcnc.."'! cxmtinuing trj S.J.lie ~orth o..'Cnty-thrcc (23) c.129rec5 sixteen (16) minutes thirty-nine (39) sccorrln West two h\mdt1;od forty- eight and sixty-six hundredths (248.66) frot to a !-'Oint at land now or fOl.1TCrly of Ja.ms G:lrd.'ier : tl',C'.nCX" by l.:md ne'", or f("~i" 1"1;' ()C Jam?S G.l.rW1C.l North fif.)..... ~'.:..;._: ::~':)) ,-';"':":j~~"-';'" ~...hi:,,'i.J..:(~n (14) Ininutc5 0..0 (2) seconds East one hundred forly-t-.-:> and eighty hundredU", (142.80) feet t.:; the point and place of BEGIt~';D;G. Being Lot No. 1 on U"" sUIVeY by Kissinger & \'Iol[e, R. S. for Harold 11. Crus',y. dated October 5, 1978, rontaining il total urea of 2.417 acres, but. subject to lilJ1d (~edication of .212 of an ilcre for road purposes. , --.,-:' BEING part of the same tract of land which rrank F. Lay/ single man, L...,j ecor7V28 r^CE 718 '..~ ___" .... ~ . . ~ . ..._d (yht\ji ~ c.- fJ-. I I r_ il i ! 1 .------------'.---------------- '... I . ''-0,. ..........~ Stut. of l'ennnylvania } COftntv of Cumberland nfl. 0.. ad8. th, 20th Jall of February . 19 79. befor. me. the wtder.'IiO"t~d officer, pC}':m1lll11:1 cWl)earcfl J1ilrol~l \<1. CI'l1!i(~Y and CiJthf..~rinc 1'.lczak CrtU;l!Y, hl~... wife, J.."1tOwn to -me (or ttaU:flactorily proven) to llfl the 'fIt!rson~ who/l(! ?Iame B are SUb8Crib~d to tht. wit/tin ins~rumcnt, awl a.clmowletl{Jed that they c:erCl/tc(l same for the purpose.., thucin contu1ncd.. In 1lJitnesB whereof, 1 here-unto Bet 11t.y hand rt1ul nDicinl ulIl. , " ...... .... ,II}'} Lit Ii ';.--,'"".\>,l'~ .....___....!:.. ,~.Ll,_.\.!. ,-,..,:J,l..~.c':..:,""'(....--::'.;T;'~,~J, . \', . ... '1'\.... ................... ... ~9.~.~E.Y....r.~I.!?A~.9-..~!:~L'~..:_._.~.~\~~~ Title:'oi OCicc\-,!"',:: ' expires: '. \rUly ~':~:~~~.~: ~.';' .....6 i ~ :....:.\~, :.\ \,.' :",..-;-1..., '~..~t ~ (J ...... ., ,. .' ,19 ..~.:>';~~~~t~~?tie, " ....~;~:.'\.;:". /' \. State of } Hy Comm. 88. County of 0.. thi8. ths day 01 tho undersigned officer. personallv appeared kno1"" to ms (0'1' 8ati8factorily pr<>ven) to be the person within instrument. and acknowledged that contained, In witne.. whereof. I hereunto BOt mv Iwnd and olJtciaZ 8,eal. WhOBO nant8 8ubscribed to tho ezecutp.d same /01" the purposes therein ~ ~ Title of Officer. I do hereby certify that the preci.,. residellce an,l complete post office addre.. of tho .oithin named grante8 is R. 1\. #2, Shippcns~. ~'a. ~],257 _ February 28 19 79. ........-:;i..~f(!...?f2.~':1l~d.....--.-.-. U Grillltees ,. Attorney for ....__._._____.___'- '" I '" i . ." , >< ",:< <: . . I Cil Ul ~.~ 'rl PI t'3 "'::> ." Po 1 <::l>: .<: 0)'<: ..-1 lIi'l.l >< .J III . '.... "1 Cil . ~ r.l<:>. 1;i;;1 Ul>' ::J:': 4.J ::> l~ +Jog J;:j Ul'" C>:Ul 'M E-< ::>u u::> ~ III 0 , C>: - 0 0: aU i ~,) '. '" 0 U O. +J .U I~ H ~ ~'o 0.,,) . 01 . . p::: rj ~ <: ~~Q} O~ +J '" ~ :~ ~ H"< ::.l7. ~ tnY.;,-i Q 0:." '" " 'l:;~" H01:< 7.>< .<:'" O~ HH ,....{ JJ .q ~f-lCI'J ~~ ~ r.l " B , ~ rt:." '" 0 u.c: 0::: U) U \ COMft~~ll OF PBNNS'YLVANIA ~ n no -fl 8.'"" I.r--, ..f<......~_.-~. Coun , of .__._...._~r7.....-/.. -- n . '- I . / I'" ~'/. -------~.~;~:9zl~~Dt: ~:~:~~;~-~;::~;~ :::~,~::~!;;Y Vol. ._:lE..-... Page ..._21l..... ( GivC1\ Wid,.,. t1IlI hanft an,l the sral 01 thn sai,l o.f]ice, thlt clatr. above writtt!l. I.... ~ / -"'~::r=-"S~~~C)-' Recorder. ~oS)ZJ28 r,IC: 721 c~ -,~_.. --...- ~ '. LAST NILL ANn TESTMlENT --------------------.-------- I, I1AROLD \~. CRllSEY, a resident of the TOlmship of South Newton, County of Cumherland and Commonwealth of Pennsylvania, bein~ of sound mind and memory, do make, publish and declare this to he my Last Will and Testament, hereby revokinr any and all Wills by me heretofore made. FIRST: I hereby direct my Executor, hereinafter named, to pay all my just debts and funeral expenses as may conveniently be done after my decease. SECOND: I rive, devise and heoueath all my estate, be it real, personal or mixed, to Werinald Crusey, Retty Rosenberry an Catherine Paczak, equally, share and share alike, or their heirs. TIIIRD: I herehy nominate, constitute and appoint my son, Rerinald Crusey, to be the Executor of this my Last Will and Testament. Tn the event my son, 'Rl:lrinald Crusey, should be unabl to serve as Executor for any reason whatsoever, then.I nominate, constitute and appoint Betty Rosenberry to be the successor Executrix. IN WITNESS WIIEREOP, I hereunto set my hand and seal to this my Last Will and Testament, written on one sheet of paper, d ~ h . ' rf4 tl1 f 4 atell t 1S ,,'1" lay 0 ~larch, 197 . i' / Yfi?7 _-"_~-1::.r.:.!:!-.::t:..i---- A~.:.L~::=::-..t- (S.EAL~ .. (} __I... '. HEV.453 (l.aO) COMMONWEALTH OF PENNSYLVANIA OEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIOENT OECEOENT SCHEDULE "0" BENEFICIARIES - (Instructions on Reverse Side) Estate of Harold W. Crusey - BENEFICIARIES AND ADORESSES RELATIONSHIP SURVIVED DATE OF INTEREST OF BENEFICIARY . OECEDENT BIRTH Catherine Paczak Crusev Widow Yes Sui Juris Disclained R. D. 2 Shippensburq, FA 17257 Reginald L. Crusey Son Yes sui Juris 1/2 after disclairrer R. D. 2 Shippensburg, PA 17257 Bettv W. Rosenbenv Dauahter Yes Sui Juris 1/2 after disclairre~ R. D. 2 Shi bura. FA . -,- - . .- The above beneficiaries are living at this time except for the following: NAME DATE OF DEATH '. RIN.4!J4 (1.B01' . COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "E" JOINTL V OWNED PROPERTY (Instructions 0/1 R(JV{}rSI~ Side) Estate of Harold W. crusey - - ~ TOTAL PE VALUE OF DEPARTMENT ITEM R DESCRIPTION MARKET \ DECEDENT'S VALUATION NO. VALUE INTEREST (Official Use Only) ~=-- T ~ .~ 1. See HellS 3 and 4 on Schedule IIC" , and values included there. -0- 2. 1971 Chevrolet COupe, vehicle identification No. 1385718132756, =ed jointly with surviving spouse, Catherine paczak crusey, valued at date of death $700.00 - non taxable -0- 3. 7 United states Savings Bonds of a denomination of $25.00 each '1eld in joint narres with decedent and Reginald crusey (son} 259.59/ redeerred by ~on for a total of $ 519.18 50% $ TOTAL THIS PAGE $ 259.59 ..25'1, S1 -- . ,) ! 29fL .. INSTRUCTIONS FOR COMPLETING SCHEDULE "E" Schedule "E" must includo all proporty, roal and personal, owned by the decedent jointly with another partY or parties as joint tenants with right of survivorship. Both tangible and intangible proporty are to bo included. List real estate first. 1. Describe all real proporty as indicated in the instructions for Schedule" A". Describe all personal property as indicated in the instructions for Schedule "B", Include the name, address and relationship to the decedent of the co.owner (s) and the date the joint ownership was established, 2. Indicate the total market value of the jointly owned property. 3. Indicate the percentage of the decedent's interest. 4. Indicate the market value of the decedent's interest. t" "" tl n ~ M :I- :; Z >- 0 0 '" 0 - Cl n c: 0 -l Z :;> Z t'" M M " Z ;<l >- 0 - ~ t'" - Z Z M >-l M >-l Z ~ ~ >-l >< '" t"1 - '" Z 0 '" 0 >-l 0 "T1 "T1 ::0 ~ ~ 0 "l'j - "l'j 0 - z n - :l- t" c: '" t"1 0 Z I ~ >< -< ~ M tT1 >- >- ;<l ;<l P- .r! .s:t al ~ ~ ~ ~ ~ >> ~ ~ z ~ ~ <Ii 0 ~ " ... 0 ~ u .., '" <Il ~ ~ ..., ;:l '" '" M :z: M ...l '" ... 0( " .0 ~ - 'r! .., fj U Z 00 ::l - 0 ~ 0 8 M '" "'- !Xi '" M .... .... "'- - 0 ~ 0 ~ "'- I.t< I;; o. <Il 0 Z 0 - ~ tIl ;... E-< Z ci z ~ ~ E-< ~ z ::l 0 ~ ci S ~ ~ ~ z Z E-< 0 U ~ Z ~ ~ tIl ~ 0 0 - ~ u 0 ll. ...l - , J IN RB: ESTATE OF HAroLD 1'/. CRUSEY, DECEASED IN THE COURT OF COt-M)N PilllIS OF CUMBERIAlID COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION ESTATE NO. ,'-~-2'l,- DISCLl\IMER THE CLERK OF THE ORPHANS 'COOO OF CUMBEfill\ND COUNTY, PENNSYLVANIA: REGINALD CRUSEY, EXECUl'OR OF THE SAID ESTATE: I'/ILL YOU PilllISE TAKE NerICE that I, CATHERINE PACZAK CRUSEY, wife f the deceased, Harold 1'7. Crusey, who died testate on October 20, 1979, hereby disclaim and relinquish any and all claim or interest that I may ave under the l'Iill of the said Harold 1'1. Crusey, dated March 27, 1974, and dmitted to probate by the Register of 1'7ills of CuniJerland COlmty, Pennsylvania, 4~1'/ 23, jqgO I 7 I hereby declare that this disc1airrer is intended by rre to be absolute d irrevocable, and is made freely and voluntarily and in accordance with e tenns and provisions of 20 PA.C. ~A. Section 6201 et seq. (SEAL) ss ) ,I'"'' ""'" On this the .:,'? day of ~, 1980, before rre, the undersigned . ",,'~~-V.\. '. ~fti:~r J?E;lrsonal1~ appeared th~ ab?,Je narred catherine P~czak c~ey, known to MCCRE^}i,pl>.~~1: '~\.lO~tJ.sfactonly proven to be ilie person \i)hose narre J.S subscribed to the Am""!'t;I~.~~,' ..e).':;;calirrer, and acknowledged that she executed the sarre for the purposes HEWVllH &;5J1r:E;,nuRo' ermn Contained. p;~,. u. ,'. . ,.: .: ..~ .'~: ',':: ~ .,'. {<:,. \.$'Df,t-lITNESS 1'lHE:REOF, ~ ~ ",1"/1 ~ \.' ......~.~., ". Q.;... .' \:Q',~ ';'~/;'~:';:/."~~,, J;~2}:\"""':" ~ (I'" bL'v~. ~:..~, i . . ! .';,:~ S;5 INFORMATION To insure proper credit 10 your lIccounl, t1lU nurno of Ihu eslHlfl and filfJ number should be clearly print- ed on tho chock or money order. This assossment is made in accordance with Soction 708 of tho Inheritance and Estate Tax Act of 1961 (72 P.S, ~ 2485.7081. To the extent that inheritance tax is paid within throe (3) months after the death of tho decedent, 8 discount of five (5) percent is allowed 172 P,S, " 2485.716), Inheritance Tax, other Ihan tar. on a futuro interest, is duo at the date at the decedent's death and becomes delinquent at the expiration of nino (9) months ofter tho docedent's death (72 P.S, g 2485-711), Inheritance Tax on a futuro interest is payable within three (3) monthS after the tronsfer takes effect in possession and enjoyment and is delinquent thereafter (72 P,S, 9 2485.712). Calculate interest from the delinquent date shown on the face of this form to the date of aClual payment using tho following interest table: ------------ -------- - ---------- --- ---------- --- - - --- - --- -- ------ -- -- - - - -- -- 1 month .005 4 months ,020 7 months ,035 10 months .050 2 months ,010 5 months .025 8 months ,040 11 months .055 3 months ,015 6 months ,030 9 months ,045 12 months ,060 1 days .000 17 11 days ,00186 21 days .00352 2 days .00034 12 days ,00203 22 days .00369 3 days .00051 13 days ,00220 23 days .003B6 4 days ,0006B 14 days ,00237 24 days ,00403 5 days .oooB5 15 days ,00250 25 days .00420 6 days .00101 16 days ,00267 26 days ,00437 7 days .0011B 17 days ,00284 27 days ,00454 B days .00135 1 B days .00301 2B days ,00471 9 days .00152 19 days ,00318 29 days .004BB 10 days .00169 20 days ,00335 30 days .00500 -- ---------------------- - --- ----- --- - ---- --- ---.---- - - - - ---______ ---__0 Any party in interest. including the Commonwealth and the personal representative, not satisfied with the assessment may object thereto within sixty (60) days after receipt of this Notice as provided by Section 1001 of the Inheritance and Estate Tax Act of 1961 (72 P,S, " 24B5.10011, /.J) ~~ f~g /'I.'t> - (J.,-c, 6)~ t, 7, I- 0- (;,9, ~~'1/ .f~1 g tf) .J)ct p-C *~"-0 < ~ -....~ Make check or money order payable to: ':;:, . '.,.c;. "Register of Wills, Agent" , t:' -.p -T' Mail to the address listed below: